Minimally Invasive Treatment of Spinal Metastases: Techniques

Figure 5

Bilateral extracavitary decompression for metastatic fibrosarcoma. (a) Sagittal T2-weighted, and (b) axial gadolinium enhanced MR images demonstrate pathologic fracture and metastatic epidural spinal cord compression at T5. (c) Fluoroscopy demonstrating docking of extracavitary retractors over the T5 costovertebral region. (d) Postoperate radiograph demonstrating T2–T8 fixation with cage + methylmethacrylate reconstruction of T5. (e) Postoperative CT demonstrates bilateral extracavitary decompression with cage/cement reconstruction.

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